Will give likes 12. Pernicious anemia is usually caused by: Dietary deficiency of vitamin B12 Lack of production of intr
Posted: Wed May 18, 2022 7:33 pm
Will give likes
12.
Pernicious anemia is usually caused by:
Dietary deficiency of vitamin B12
Lack of production of intrinsic factor by the gastric mucosa
decreasing absorption by the
gut
Red blood cell enzyme
deficiency
A combination of micronutrient deficiencies due to
malabsorption
A and B
14.
A patient recently received a diagnostic tap for a large pleural
effusion. The fluid revealed serous fluid with a pH of 7.02 glucose
of 24 mg/dL, and lactic dehydrogenase (LDH) of 1924
I/>U/L. The cell count is WBC 22,000 and the gram
stain reveals a gram positive cocci. The best course of action
would be:
Obtain a CT scan of the chest
Place a chest tube for drainage
Obtain chest x-rays every 8 hours to monitor for fluid
accumulation
Consult cardiothoracic surgery
16. AN 18 year old patient presents to the ER with vomiting and
overall feeling of unwell. Her serum glucose is 679. ABG: pH 7.19,
CO2 22, PaO2 78, HCO3 9, -15. Anion gap is 22. She was given a
bolus of normal saline. How should this patient be managed?
Begin sliding scale
insulin
Begin electrolyte replacement
Give 4-8L normal saline and start an insulin gtt at 0.1
u/kg/hr
Maintain NSS at 1L/hr and add 40 mEq HCO3-
18.
A patient s/p MVC is showing clinical signs of a tension
pneumothorax. What is the initial
treatment?
Obtain a chest X-Ray to confirm pneumothorax
Admit the patient for
observation
Perform a thoracentesis
Immediately perform a needle decompression
20. What is an appropriate starting dose of levothyroxine in a
patient who is 72 years old with a history of coronary artery
disease?
25-50 mcg every other
day
25-50 mcg Daily
50-100 mcg every other day
50-100 mcg daily
12.
Pernicious anemia is usually caused by:
Dietary deficiency of vitamin B12
Lack of production of intrinsic factor by the gastric mucosa
decreasing absorption by the
gut
Red blood cell enzyme
deficiency
A combination of micronutrient deficiencies due to
malabsorption
A and B
14.
A patient recently received a diagnostic tap for a large pleural
effusion. The fluid revealed serous fluid with a pH of 7.02 glucose
of 24 mg/dL, and lactic dehydrogenase (LDH) of 1924
I/>U/L. The cell count is WBC 22,000 and the gram
stain reveals a gram positive cocci. The best course of action
would be:
Obtain a CT scan of the chest
Place a chest tube for drainage
Obtain chest x-rays every 8 hours to monitor for fluid
accumulation
Consult cardiothoracic surgery
16. AN 18 year old patient presents to the ER with vomiting and
overall feeling of unwell. Her serum glucose is 679. ABG: pH 7.19,
CO2 22, PaO2 78, HCO3 9, -15. Anion gap is 22. She was given a
bolus of normal saline. How should this patient be managed?
Begin sliding scale
insulin
Begin electrolyte replacement
Give 4-8L normal saline and start an insulin gtt at 0.1
u/kg/hr
Maintain NSS at 1L/hr and add 40 mEq HCO3-
18.
A patient s/p MVC is showing clinical signs of a tension
pneumothorax. What is the initial
treatment?
Obtain a chest X-Ray to confirm pneumothorax
Admit the patient for
observation
Perform a thoracentesis
Immediately perform a needle decompression
20. What is an appropriate starting dose of levothyroxine in a
patient who is 72 years old with a history of coronary artery
disease?
25-50 mcg every other
day
25-50 mcg Daily
50-100 mcg every other day
50-100 mcg daily